| Regimental number | 15371 |
| Occupation | Carpenter |
| Next of kin | Mother, Mrs Mary Ann Jackson, c/o E Jackson, Kiwi Road, Devonport, Auckland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 9th Reinforcements to 1st Battalion, E Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 32 |